Evaluation of Soft-Tissue Balance during Total Knee Arthroplasty

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Evaluation of soft-tissue balance during total knee arthroplasty.

PURPOSE To evaluate soft-tissue balance during versus after total knee arthroplasty (TKA). METHODS 18 men and 75 women aged 52 to 85 (mean, 68) years who had moderate-to-severe varus deformity underwent TKAs using the Scorpio non-restrictive geometry posterior-stabilised system (Stryker Howmedica Osteonics; Allendale, [NJ], USA). All surgeries were performed by a single surgeon using the medi...

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Soft Tissue Balance in Total Knee Arthroplasty

The primary goal of total knee arthroplasties (TKAs) is the achievement of stable tibiofemoral and patellofemoral (PF) joints, which relies on accurately aligning these joint components and balancing the soft tissues. In order to achieve these criteria, it is important to utilize appropriate surgical techniques and well-designed implants [1-3]. To this end, using the more traditional intraand e...

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Soft-tissue balancing with pressure distribution during total knee arthroplasty.

We measured the pressure distribution across the tibiofemoral and patellofemoral joints during total knee arthroplasty (TKA) using Fuji pressure-sensitive film (Prescale) in 51 patients (63 joints) comparing the results with those in 21 patients in whom Prescale was not used. We classified the stress-distribution patterns in the tibiofemoral joints into four types: normal, varus-valgus instabil...

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Soft tissue balancing in total knee arthroplasty.

A good outcome in total knee arthroplasty depends on many factors: joint alignment, range of motion, patellar tracking and ligament stability. A correct soft tissue balance keeps the joint aligned in flexion and extension, and therefore constitutes the most important factor for durability of the implant. Indeed, incorrect soft tissue balancing is the primary cause of early implant failure neces...

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Quantification of soft tissue balance in total knee arthroplasty using finite element analysis.

Unbalanced contact force on the tibial component has been considered a factor leading to loosening of the implant and increased wear of the bearing surface in total knee arthroplasty. Because it has been reported that good alignment cannot guarantee successful clinical outcomes, the soft tissue balance should be checked together with the alignment. Finite element models of patients' lower extre...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2010

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901001800106